% 0杂志文章% @ 2561 - 1011 V %我JMIR出版物%卡塔尔世界杯8强波胆分析 6% 2% N P e37437 % T数字医疗解决方案减少动脉粥样硬化性心血管疾病的负担由承运人提出财团% Scheenstra,巴特% Bruninx, Anke %一辆面包车Daalen, Florian %斯塔尔,尼娜% Latuapon,伊丽莎白% Imkamp,麦克% Ippel,丽芬妮% Duijsings-Mahangi, Sulaika %史密特,Djura %汤恩说他,大卫%贝尔梅霍,尼德克%,安德烈% Hochstenbach,劳拉% Spreeuwenberg, Marieke % Maessen,乔斯% T霍夫,Arnoud范”%A Kietselaer,Bas %+ Department of Cardiothoracic Surgery, Maastricht University Medical Center+, P Debyelaan 25, Maastricht, 6229 HX, Netherlands, 31 0652592248, bart.scheenstra@mumc.nl %K atherosclerotic cardiovascular disease %K ASCVD %K cardiovascular risk management %K CVRM %K eHealth %K digital Health %K personalized e-coach %K big data %K clinical prediction models %K federated data infrastructure %D 2022 %7 17.10.2022 %9 Viewpoint %J JMIR Cardio %G English %X Digital health is a promising tool to support people with an elevated risk for atherosclerotic cardiovascular disease (ASCVD) and patients with an established disease to improve cardiovascular outcomes. Many digital health initiatives have been developed and employed. However, barriers to their large-scale implementation have remained. This paper focuses on these barriers and presents solutions as proposed by the Dutch CARRIER (ie, Coronary ARtery disease: Risk estimations and Interventions for prevention and EaRly detection) consortium. We will focus in 4 sections on the following: (1) the development process of an eHealth solution that will include design thinking and cocreation with relevant stakeholders; (2) the modeling approach for two clinical prediction models (CPMs) to identify people at risk of developing ASCVD and to guide interventions; (3) description of a federated data infrastructure to train the CPMs and to provide the eHealth solution with relevant data; and (4) discussion of an ethical and legal framework for responsible data handling in health care. The Dutch CARRIER consortium consists of a collaboration between experts in the fields of eHealth development, ASCVD, public health, big data, as well as ethics and law. The consortium focuses on reducing the burden of ASCVD. We believe the future of health care is data driven and supported by digital health. Therefore, we hope that our research will not only facilitate CARRIER consortium but may also facilitate other future health care initiatives. %M 36251353 %R 10.2196/37437 %U https://cardio.www.mybigtv.com/2022/2/e37437 %U https://doi.org/10.2196/37437 %U http://www.ncbi.nlm.nih.gov/pubmed/36251353